NPIMap

Andrew Jerome Brown, PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Duvall, WA

NPI 1962979526 · NPPES record last updated Sep 4, 2024

Key facts

NPI
1962979526
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
60879460 (WA)
Practice address
15602 Main St NE
Duvall, WA 98019-8578
Phone
(425) 788-2644
NPI assigned
Oct 31, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
60879460WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
K V H Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60879460 WA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 60879460 WA Yes

Addresses

Primary practice location

15602 Main St NE
Duvall, WA 98019-8578

Mailing address

15602 Main St NE
Duvall, WA 98019-8578
Phone (425) 788-2644

Other providers in Duvall, WA

All providers in Duvall, WA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Washington

Sources for this page

Verify at the official NPI Registry.